<div class="modal-content" style="width: 660px;">
    <div class="modal-header">
        <button type="button" class="close" ng-click="onOk();">&times;</button>
        <h4 class="modal-title" >稽核告知函</h4>
    </div>
    <div class="modal-body">
        <div class="row text-center">
            <h4>
                <b> 
                <span ng-repeat="data in auditDictServices.regionName" ng-bind="auditFile.regionName=data.name"></span>
                    <span>医保定点医疗机构、定点零售药店稽核告知函.</span>
                </b>
            </h4>
        </div>
        <div class="row" style="margin-top: 5px;">
            <div class="col-xs-12" style="line-height: 30px;">
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">案件编号:</label>
                    <div class="col-xs-8">
                        <input type="text" class="form-control" ng-model="caseDetail.caseCode" ng-readonly="true">
                    </div>
                </div>
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">机构名称:</label>
                    <div class="col-xs-8">
                        <input type="text" class="form-control" ng-model="caseDetail.healthcareProviderName" ng-readonly="true">
                    </div>
                </div>
            </div>
            <div class="col-xs-12" style="line-height: 30px;">
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">地址:</label>
                    <div class="col-xs-8">
                        <input  type="text" class="form-control" ng-model="caseDetail.fullAddress" ng-readonly="true">
                    </div>
                </div>
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">定点时间:</label>
                    <div class="col-xs-8">
                        <input  type="text" class="form-control" ng-model="caseDetail.pointStartDate" ng-readonly="true">
                    </div>
                </div>
            </div>
            <div class="col-xs-12" style="line-height: 30px;">
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">法人:</label>
                    <div class="col-xs-8">
                        <input  type="text" class="form-control" ng-model="caseDetail.lealPerson" ng-readonly="true">
                    </div>
                </div>
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">案发时间:</label>
                    <div class="col-xs-8">
                        <input ng-model="caseDetail.auditDate" class="form-control" fwa-datetime ng-change="inputChange()">
                    </div>
                </div>
            </div>
            <div class="col-xs-12" style="line-height: 30px;">
                <div class="form-group col-xs-12">
                    <label class="col-xs-2 control-label text-right"> 稽核时段:</label>
                    <div class="col-xs-4">
                        <input ng-model="caseDetail.periodBeginDates" class="form-control" style="width: 43%;" fwa-datetime ng-change="inputChange()">
                        -
                        <input ng-model="caseDetail.periodEndDates" class="form-control" style="width: 42%;"  fwa-datetime ng-change="inputChange()">
                    </div>
                </div>
            </div>
            <div class="form-group col-xs-12" style="line-height: 34px;">
                <label style="float: left;width: 17%;" class=" control-label text-right">
                    稽核摘要:
                </label>
                <div style="float: left;width: 65%;padding-left: 3px;padding-right:3px;">
                    <textarea class="form-control"  name="auditSummary" ng-model="caseDetail.auditSummary" style="height:100px;background-color:white; cursor: pointer;" maxlength="1330"></textarea>
                </div>
            </div>
            <div class="form-group col-xs-12" style="line-height: 34px;">
                <label style="float: left;width: 17%;" class=" control-label text-right">
                    处理意见:
                </label>
                <div style="float: left;width: 65%;padding-left: 3px;padding-right:3px;">
                    <textarea class="form-control"  name="opinionDesc" ng-model="caseDetail.opinionDesc" style="height:100px;background-color:white; cursor: pointer;" maxlength="330"></textarea>
                </div>
            </div>

            <div class="row margin-top">
                <label class="col-xs-2 text-right">
                    备注：
                </label>
                <div class="col-xs-8">
                    <p>请机构法定代表人或负责人接到本告知书之日起三日内，到社保中心接受稽核处理，办理签字程序,请携带以下材料</p>
                    <p>1.机构公章</p>
                    <p>2.若法定代表人无法到场,请携带法定代表人签署的授权委托书.</p>
                    <p>3.被委托人的身份证号原件、复印件</p>
                </div>
            </div>
            <div class="col-xs-12" style="line-height: 30px;">
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">机构签章:</label>
                    <div class="col-xs-8">
	                    <span>
						</span>
                    </div>
                </div>
                <div class="form-group col-xs-6" >
                    <label class="col-xs-4 control-label text-right">签章日期:</label>
                    <div class="col-xs-8">
                        <input class="form-control" fwa-datetime="" data-type="month" data-format="yyyy-mm-dd" ng-model="caseDetail.sealDate" ng-show="!tellReportRead">
                    </div>
                </div>
            </div>
            <div class="row" >
                <div class="col-xs-11 text-right" style="margin-top:20px">
                    <b>
					 <span>
					 </span> 
                    </b>
                </div>
            </div>
            <div class="row">
                <div class="col-xs-11 text-right">
                    <b>
					 <span ng-bind="caseDetail.sealDate" ng-show="false"> </span>
                    </b>
                </div>
            </div>
        <div class="modal-footer">
            <div class="text-center">
                <button type="button" class="btn btn-primary btn-sm" ng-click="confirm();" >
                    确认
                </button>
                <button type="button" class="btn btn-primary btn-sm" ng-click="onOk();" >
                    取消
                </button>
            </div>
        </div>
    </div>
</div>
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